目的 调查并分析中青年慢性心力衰竭 (chronic heart failure，CHF)患者运动康复依从性现状及影响因素，为临床针对性地开展运动康复依从性干预提供参考。方法 2021年7月至2023年6月，采用便利抽样法选取北京市某三级甲等医院的186例中青年CHF患者为研究对象，采用一般资料调查表、CHF患者运动康复依从性量表对其进行调查。结果 中青年CHF患者的运动康复依从性得分为（22.01±13.20）分，处于较低水平。多元线性回归分析结果显示，既往有规律运动习惯和医护人员的运动康复知识指导是影响患者运动康复依从性的重要影响因素（均P＜0.05）。结论 医护人员应重视中青年CHF患者运动康复知识的指导，依据患者实际制订个性化运动指导方案，提高运动康复的依从性，改善运动康复效果。

Objective To investigate and analyze the current status and influencing factors of exercise rehabilitation adherence among middle-aged and young patients with chronic heart failure（CHF),and to provide references for targeted clinical implementation of exercise rehabilitation adherence intervention.Methods The convenience sampling was used to select 186 middle-aged and young patients with chronic heart failure in a tertiary A hospital in Beijing from July 2021 to June 2023.General information questionnaire and exercise rehabilitation adherence scale for heart failure patients were used for investigation.Results The exercise rehabilitation adherence score of middle-aged and young patients with chronic heart failure was（22。01±13.20) points,which was at a relatively low level.Multiple linear regression analysis showed that regular exercise habits and medical staff guidance on exercise rehabilitation were important influencing factors of exercise rehabilitation adherence (all P＜0.05).Conclusions Medical staff should attach importance to the guidance of exercise rehabilitation knowledge for young and middle-aged patients with chronic heart failure and develop personalized exercise guidance programs according to the actual conditions of patients,so as to improve their adherence with exercise rehabilitation and improve the effect of exercise rehabilitation.

R473.54;R823

国家自然科学基金青年科学基金项目（82100372）